| NPI | 1174595409 |
|---|---|
| Doing Business As | MO FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | JOHN HOLTZMAN Delegated Official 314-991-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000765) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000821) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2000157310) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-09-30 |